Updates

The segment on VSD in the Acyanotic lesions with left to right shunt page has been updated and re-organised.

The organism responsible for PCP pneumonia, Pneumocystis carinii, has been replaced with it’s new name Pneumocystis jiroveci on the HIV infection page (and related pages). PCP pneumonia may also be called PJC pneumonia as a result.

The Stroke management page has been updated with information regarding the role of early surgery in primary ICH following the publication of the STICH – II trial.

The Normal ECG, Ion effects on the ECG and Torsades de pointes pages have been updated highlighting the risk from QTc prolongation caused by ST segment prolongation is much less than that due to T wave prolongation.

Some additional material relating to ECG changes and prognosis in syncope has been added to the Syncope page.

The Sudden cardiac death page has been updated with more specific information about the types of ECG changes that can occur in Brugada syndrome, as well as the insertion of links to other relevant sections of the manual.

The segment on drugs in lactation in the Drugs in pregnancy and lactation page has been extensively revised and updated. In particular, the use of analgesics and psychotropic medications has been revised.

A small segment on subcutaneous ICDs has been added to the Electrical cardioversion page.

The definitions of sepsis and severe sepsis have been updated in the Assessment of sepsis page with more specific criteria based on the Surviving sepsis 2012 guidelines published earlier this year.

A table of WCC normal ranges for the first year of life has been added to the White blood cells page.

The Triage page has been updated with the latest information regarding ‘GP’ patients in ED.

Details of the NEXUS chest rule for plain radiography in blunt chest trauma has been added to the Assessment of the trauma patient page.

The Bite injuries page has been extensively revised and updated, and duplicate content in other parts of the manual removed. The page has also been moved out of the Hand trauma segment to now follow the Penetrating trauma segment.

The Sulphonamides and quinolones page has been updated with recent information about the toxicity of quinolones.

The Pulmonary embolism page has been updated with additional information about physical examination findings in PE.

The Community acquired pneumonia page has been updated with additional information about physical examination findings in CAP.

The Respiratory examination page has been extensively revised and expanded.

The Examination of the GIT page has been extensively revised and expanded and renamed Examination of the abdomen and GIT to reflect the change in its emphasis.